What Does Bile Reflux Look Like

A special system was created for the digestion and the absorption of the gall bladder through the intestinal wall. Since it contains substances that allow fats to be emulsified because the bile is an essential factor for these. The breakdown of fats stimulates the secretion of an enzyme. After being secreted by the liver the bile is stored in the gallbladder until needed. The gallbladder is stimulated when a fat is eaten and bile flows down the cystic duct, into the common bile duct and through the ampulla of Vater into the intestine.The gallbladder also concentrates the bile within it by removing water through its wall. If the gallbladder is removed the bile still flows into the intestine from the liver when fat digestion may be less efficient because the bile is not concentrated. The must common disorder of the biliary tract is gallstones. It is thought that the gall bladder produce an excessive amount of water from the bile so that some of its constituents can no longer remain in solution. Gallstones are frequently associated with eating a diet that is high fat and refined carbohydrates and low in fiber. Gallstones taken for some other reason can be discovered by an x-ray practice in order to leave them alone if they are causing no symptoms, since the risk of developing problems is slightly less than the risk from a major operation.If a patient with asymtomatic gallstones is having an abdominal operation for another reason, the gallbladder may be removed at the same time. The problems that gallstones can give rise are the following: cholecystitis, choledocholithiasis and cholangitis, pancreatitis and gallstones ileus. Patients with symptoms from gallstones will suffer from chronic cholecystitis. A stones becoming stuck in the junction of the gallbladder and the bile duct may cause severe attacks. The muscle situated in the wall of both gallbladder and duct contracts in a effort to move the stone and this produces intense pain felt under the ribs on the right-hand side of the abdomen. The pain may be felt under the V on the ribs or may extend right across the abdomen and spread around to the back below the right shoulder blade. The patient vomit and is usually restless. The stone falls into the gallbladder or by some muscle contractions is past down the bile duct and into the intestine. This process may last several hours.The main symptom is a constant dull ache in the upper abdomen, discomfort and flatulence after eating a fatty meal. The most frequently affected are women between the ages of 20 and 40. It is caused by a stone becoming jammed either in the junction of the gallbladder and duct or in the duct itself. This appear at many patients who suffered from binary colic indigestion or flatulence. The inflammation of acute cholecystitis is caused at first by the chemicals in the bile. It was proven that a bacterial infection supervenes in 50 percent or more of cases.The pain is severe and constant and comes suddenly. It appears in the right and central parts of the upper abdomen and under the right shoulder blade. In this case the patient usually vomits and it is ill and feverish. If the bile duct becomes swollen, slight jaundice appear as bile from the liver which is prevented from passing into the intestine and enters the blood stream instead. When dealing with gallstones the gastrointestinal surgeons are experts choosing the correct treatment for an individual patient. The most commonly performed operation is called laparoscopic cholecystectomy-designed to remove to the gallbladder as easily and safely as possible and with the smallest possible incisions. An usual cholecystectomy involves major abdominal surgery. In cases when the patients are not fit for surgery it may be possible to dissolve the stones by giving them chenodeoxycholic acid or ursodeoxycholic acid. This kind of preparation are taken by mouth and are excreted in the bile. If the gallstones are very small and contain very little calcium which make them invisible on a plain x-ray of the abdomen they will not work without the gallbladder.The treatment is not good for women of childbearing age or for those with any form with liver disease. Although 80 percent of stones may be dissolved after six month's or a year's treatment they frequently re-appear after the medication have stopped. When external shock waves are used to bombard and shatter the stones, the process is called lithotripsy. An approach involves injecting into the gall bladder a strong solution that dissolves the cholesterol from which the stones are made. Gallstone disease needs an extensive experience to manage properly. In many cases diseases due to the appearance of the gall bladder the cure is possible.

Frequently Asked Questions

  1. QUESTION:
    Why is alternative medicine dismissed as quack science?
    Mainstream medicine & peer reviewed medicine consider alternative remedies as fraudulent with no evidence to back it up with.

    Yet, with natural remedies, I can cure a cold in 3 days or less. With antibiotics, prescribed drugs, OTC, cough drops, I have hacking cough & congestion for @ least 3 weeks.

    Do you agree that Mainstream peer reviewed medicine is all about business & marketing, & they don't care about healing?

    I've been researching Dr. Hulda Clark, Dr. Leonard Coldwell, Dr. Credo Mutwa, Dr. Weston A. Price, Dr. Francis Pottenger Dr. Gary Null, Dr. Berard, Dr. Frank Jerome & others. People say they're all quacks & frauds.

    Tell me why so many Naturopathic doctors are getting imprisoned or killed for providing a CURE!

    Dr. Clark financed her OWN research, & she didn't hesitate to GIVE her books away for FREE. She was very generous & didn't care about money or profit.

    Not trying to sound like ranting, but please give me your input, so I can further my research.

    Also, look @ websites, like

    http://whale.to
    http://educate-yourself.org
    http://thebodyscience.net
    http://rawfoodexplained.net
    http://shirleyswellnesscafe.com

    • ANSWER:
      First of all, big pharma: the pharmaceutical industry wants you to believe that only their drugs work, so they brainwash the population with ads and other methods to believe in their drugs.
      Secondly, the health care industry: they depend on people getting sick and coming back for those illnesses--they also are instructed to perform--by hospitals annnd big pharma because big pharma often endorses their services by providing their drugs for a huge discount rate. Hospital administrators depend on the pharmarceutical industry because of their scholarship programs for educating them---so in essence you can say that big pharma controls what's happening in the health care industry......it is a cycle where each one depends on the other for support and in exchange for that they have to do something.

      I told my ENT doctor that I am taking a homeopathic remedy for my ear problem and he asked me if it worked for me. I could honestly tell him that it had gotten better. He told me that the reason why alternative medicine is not recommended is the fact that most of those remedies have not been studied, but I found that to be untrue. A lot of natural remedies have been studied in other countries and are used there as a first line of defense--which is how medicine should be practiced. Prescription drugs should be the last resort--it's the same with surgeries. In Germany for example, is peppermint approved for medical use(it soothes the stomach and relieves headaches). Acupuncture is also approved for some medical use, so is passion flower and dandelion. The Israelis had a study done on the decalcifying effect of pommegranate juice, and in Thailand they did a study on pommegranate extract and it's effects on t dental treatment. In Canada they studied the effects of diet cranberry juice on obese men---do I need to go on? The only country where they don't conduct these studies seems to be the U.S.

      In the UK homeopathy is still the first line of defense. In Germany people go to their pharmarcy to get counseled on what they can try for their ailments(and only if it is a serious one or natural stuff doesn't work do they go to the doctor)---you know, I do know firsthand that alternative medicine works and that it sometimes works faster than prescription drugs: I experienced the healing power of aloe vera when I burnded my hand. I relieved tinnitus with a homeopathic remedy, and recently I discovered that activated charcoal is a better solution for bile reflux than the prescription medication I was given......I think I'll stick to alternative medicine whenever possible to avid the side effects of prescription drugs, even though insurance will not pay for any natural remedies....

  2. QUESTION:
    Does anyone have their stomach swell right up in the evenings?
    Sometimes my stomach swells so much that I look 7 months pregnant. It only happens towards the end of the day. Is it worth trying Actimel or what else can I do.

    I am otherwise healthy.

    • ANSWER:
      My husband suffers with this. The hospital has told him its Reflux disease. This is where bile travels up the trachea and burns. This causes heartburn symptoms plus a very swollen tummy. He was told to cut down on fizzy drinks, coffee, alcohol and spicy foods. This has worked, but he know experiences it when he eats digestive biscuits, pastry etc. He takes Gaviscon for this and it does work. Try this, see if it helps.xx

  3. QUESTION:
    Pain in between my ribs and bloating feeling?
    So I tried Google for help but I didn't really find much.. (or maybe I was too lazy to try look more) lol. But yeah, I've been chewing a lot of gum today if that helps? I dunno.
    And my eating routine is pretty much the same. Any idea what it could be?

    • ANSWER:
      Have you had any allergies or intolerances checked out?
      Has this happened before?
      What is your diet like - do you or have you after experiencing this eating a lot of bulky or starchy foods, acidic drinks etc?

      It could be a few things, for one chewing gum can cause some bloating as when you chew sometimes you take in excess air and almost gulp it while you chew the gum, you have to have an excess amount and it wouldn't normally cause pain but this is a small possibility.

      It could also be something called gastric reflux which is when you have excess acid, sometimes from diet or illnesses which cause you to almost wretch up acid, its similar to bile but may not be brought up physically it could just be felt in the eusophagus and does cause pain between ribs and bloating as well as other symptoms.

      Indigestion - if this has started shortly after eating or if you exercised soon after eating or drinking a lot
      Allergies - have a look at what you ate today or in general if you get this alot, it may be that you are allergic or have an intollerance to a particular food or had too much of one source in the day for example you may get this pain after having predominantely starchy/carby foods like bread, potato and pasta and that can cause this feeling.

      If it continues or if you have had this for a while then make an appointment with your GP and just have a check.
      It could be as simple as indigestion which can be eased with over the counter medicines like gaviscon so maybe try that first.

      All the best
      Rara

  4. QUESTION:
    what's the difference between acid reflux and heartburn?
    i mean like the feeling not like what the actaul differance is...

    • ANSWER:
      Acid reflux is the regurgitation or partial regurgitation of bile acid.

      Heart burn is an internal pain in your chest region that is caused by pain in the stomach. May be a symptom of GERD.

      Here is some information on Acid Reflux as in the disease if that will help you any.

      I am not a doctor, so either way you will want to talk to them, but this is what I have to say as a long time sufferer of Acid Reflux (G.E.R.D.)!

      Three part answer: information, what not to do, and what to do!

      INFORMATION!!!!!!
      I have a very severe case of Acid Reflux (G.E.R.D.). I have had to go to the hospital for some of the heartburn that I have had because the pain can become overwhelming or your breathing can be effected. It can be caused by Smoking, Drinking Beverages with caffeine (My case with hereditary), Drinking Beverages with Alcohol, Stress, Anxiety or can be Hereditary

      The good thing about G.E.R.D. is that it can be a temporary thing and can be cured. It is never a permit thing even if you end up with it for the rest of your life it has the ability to be cured.

      G.E.R.D. is caused by too much acid being created in your stomach. This can lead to or cause ulcers, esophagus damage, heartburn and/or damage in the mouth. . Other symptoms that can be found in a few cases are dizziness, tingling in limbs, numbness of Limbs, Chest/Back pain focused on the left side (in most cases), and shortness/difficulty breathing.

      WHAT NOT TO DO!!!!!!!!
      In most cases, stress is a factor to the reflux if you watch what you eat and reduce some of the stress it will help. If you watch what you eat for about a week you should find relief, if you do not then that is when you definitely what to listen to the doctor. Things to watch for are as follows:

      Fatty Foods
      Citrus Foods
      Foods That Contain Grease
      Fried Foods
      Chocolate (including any Coco)
      Caffeine
      Smoking
      Alcohol
      Tomato Based Products
      Lactose
      Roughage (Berries and Nuts)
      Onions

      WHAT TO DO!!!!
      The two foods that I recommend is Black strap Molasses and Raw honey. The apple is better for night time reflux while these will work for just about all of it. What you will do is take about a tsp. of whatever one you chose. Molasses being the better because of strength and nutrition, but must be use to the taste. What the substance will do is stick to the sides of the esophagus and do two things, one is heal and the other is protect.
      On the healing end, both substances have a healing property in them, and as they sit on the walls of the esophagus they will heal it. This is also helpful if you have a sore throat in the morning from refluxing.
      On the protection end, both substances are high in sugar and when acid that is refluxed comes up to that the sugar will neutralize it and it will not longer be a problem at that point.

      I would also look to putting Cinnamon and Ginger in you diet, they have been know to help with digestion and will help you reduce the amount of acid needed to brake down food, therefore causing you to reflux less.

  5. QUESTION:
    I was abused as a child could it be causing my health problems now?
    I was starved and abused as a young child could it be the cause of health problems i have now?Ihave celiac,anemia,hyated hernia,acid reflux,curved spine,thyroid disease,and excessive liver bile.

    • ANSWER:
      I am sorry to hear that you had such a rough childhood. I sincerely hope that you are now beyond the reach of your tormentors. I hope that you are able to join a self esteem group to help you process your thoughts about your childhood and who you are now.

      I have read a lot of stuff about Celiac Disease. My husband was diagnosed with it earlier this year. Apparently, it is something that you can inherit genetically. However, not everyone who has the POTENTIAL to develop Celiac Disease will do so. Sometimes it takes a stressor to flip on the switch. The treatment for Celiac Disease is a commitment from you to remain gluten free for the rest of your life. That means don't eat anything that has wheat, barley, rye, or any of their derivatives. Your name indicates that you are a chef. Why not look at this as a challenge to find gluten free foods to make and sell to the other Celiacs in your community. Since 1 out of 133 North Americans have Celiac Disease, your experience as a chef and as a Celiac might be very lucrative for you if you decide to open a GF restaurant.

      The anemia and acid reflux can definitely be associated with the Celiac Disease. Once you get all the gluten out of your diet and get used to eating gluten free, you will hopefully find that you have less problems with acid reflux. My husband is currently taking iron pills to treat his anemia, which is why he was finally diagnosed.

      The curved spine could be due to malnutrition as a child. Also, Celiac Disease can cause a reduction in the amount of vitamins and minerals your body absorbs so it could be that you have a calcium deficiency because of this. The thyroid disease and the excessive liver bile I confess to know nothing about.

      I think you might want to consult with a gastroenterologist who specializes in treating people with Celiac Disease. I would also consult with a dietician. Don't forget to consult with a counselor. Take a holistic approach and treat your mind, spirit, and body in order to obtain health.

      Good luck on your journey!

  6. QUESTION:
    My mother had blood test done. And now they want her to see a Gastrotestinal specialist?
    She has reflux and takes nexium already. we cant talk to anyone til monday here to find out anything. But to see a specialist in that catergory what could it possibly be. does that special check ur liver or anything else like that. what does a blood test check. I just wondered if anyone thought seein a gastrotestinal specialist might have a idea of what could be wrong

    • ANSWER:
      A gastroenterologist deals with the entire digestive
      system. You are being sent to a doctor that has
      chosen to make this area of the body, the one that
      he studied the most about and knows all the major
      advances in this field, as far as medications used
      and the different diseases and possible cures.
      Some even do research to try and find cures.

      There are different tests they can do
      to find out information about your mothers problem.
      An endoscopy is a scope that they insert through
      the mouth. She will be sedated and her throat will
      be numbed and she will be asked to swallow the
      scope. This scope has a camera and light on it and
      they can see clear bright images of her esophagus
      and stomach area. After the procedure is over,
      they can show her actual pictures of what they have
      found.

      They also have a procedure known as an ERCP.
      In this case, it is just like the test I mentioned above,
      except they go further into the body. The will view
      the esophagus, stomach and also the first part of
      the intestines, known as a duodenum. They can
      view the bile ducts coming down from the liver,
      also, by inserting dye into them. If there is
      anything blocking the bile ducts, they can remove
      it.

      They also have a pill form of an endoscopy.
      You just swallow a pill and it moves through your
      entire digestive system...taking a movie along the
      way.

      If they want to check the large intestines, then they
      may do an colonoscopy. This scope is very similar
      in what it does...but it is inserted through the rectum
      and air is released to expand the colon so they can
      view its walls. Any polyps or growths can be removed
      in this procedure.

      What could it be? They have to look at the cells of
      the esophagus to be sure the acid, she keeps having,
      is causing changes to those cells. They will see
      if the valve/muscle that stops the contents of the
      stomach from moving back into the esophagus is
      working well. They will look for any growths or tumors
      or cancer. They will see if the stomach or other areas
      may have an infection. They will find out if the bile
      and pancreatic juices are flowing well to the intestines.
      They will see if there is any out pouching of the
      intestines (like diverticulitis). They will check for
      ulcers, and see how the contents are moving through
      the intestines. They will look for hemmorhoids.
      There is so much about the digestive system to cover...
      it isn't possible to tell all here.
      However, there is a wonderful site of gastroenterology
      that provides patients pamphlets that you may like
      to look at. It tells about the different kinds of tests
      they do and also about different conditions:
      (you just have to click on the links to go to them)
      http://www.gihealth.com/html/education/pamphlets.html
      http://www.gitract.info/
      http://www.acg.gi.org/patients/gihealth.asp

      Certain blood tests they do will show if there
      is liver cell damage, biliary damage, infections,
      kidney function, heart function, and other things.
      If they see anything on the blood work that is
      cause for concern...they will then do film testing
      like an ultrasound, Ct scan, MRI, biopsies,
      Upper and lower GI barium tests, or any of
      the tests I mentioned above.

  7. QUESTION:
    How can you treat an IBS attack?
    I've recently been diagnosed with IBS at 17 and I have been having multiple attacks each day.

    I know when one is coming on because of the fatigueness, the nausea and stompach cramps.

    Is their any tablet or pill you can take to treat these because they are really draining the energy from me?

    • ANSWER:
      Hi James - I'm so sorry to hear you're going through this. I do have a helpful suggestion for you.

      As a high volatile oil peppermint tea, extract, or as enteric-coated peppermint oil capsules, peppermint is extremely useful for stopping IBS attacks in their tracks. Peppermint also contains essential oils that stimulate the gallbladder to secrete its store of bile, which the body uses to digest fats. This makes peppermint a wonderful digestive aid for heavy meals, which are very problematic for IBS. Peppermint also improves the function of the muscles that line the stomach and intestines, relieves diarrhea, and has a calming, numbing effect on the entire GI tract.

      I find peppermint to be the strongest anti-spasmodic and pain reliever of all the herbs, and when an attack flares I really appreciate its noticeable whole-body mild anesthetic effect as well. On a daily basis I find it more effective (and certainly more enjoyable) than prescription anti-spasmodic drugs, particularly when it's brewed as a very strong tea.

      In fact, peppermint is such a powerful muscle relaxant that it can trigger GERD (Gastroesophageal Reflux Disease) or heartburn in people who are susceptible. If you are prone to these upper GI problems, avoid mint and stick to the other IBS herbs and spices such as high volatile oil fennel or ginger.

      One of the easiest and most effective way to use peppermint for IBS is to brew it (fresh or dried) with boiling water into hot tea (do not actually boil the herb in water as this can destroy its volatile oils, and thus its effectiveness). Peppermint, however, is available in several other beneficial forms as well.

      Enteric-coated peppermint oil capsules can be taken before meals to help prevent IBS symptoms. These capsules have been proven highly effective (and safe) in several clinical trials, including studies that focused specifically on children with IBS. These capsules are specially coated so they don't dissolve in the stomach (which could trigger heartburn); instead, they dissolve in the intestines, where they act as a smooth muscle relaxant and pain killer.

      For teas, make sure you get a large leaf, high volatile oil, organic version - it should be so strong when you brew it that it's black. For peppermint oil capsules, look for a version with fennel and ginger oils added for their synergistic effects.

      Hope you are feeling better soon.

      Best,
      Heather

  8. QUESTION:
    Has anyone out there ever had pancreatitis?
    I've had attacks for the last 15 yrs, each lasting about 5-6 days and the pain is indescribable. It starts just below the rib cage but seems to radiate through to my back. I've been given morphine in the past but even that doesn't work. I've had a scan and they say my pancreas is calcified.

    • ANSWER:
      Pancreatitis is not something the medical people are good at helping you with. Since they can't remove the pancreas like they do other body parts because it is necessary for keeping you alive, they get frustrated and are stuck with using drugs to treat the symptoms. Meanwhile, your pancreas deteriorates and that's modern medicine at work.

      The duct from the gallbladder connects to the pancreatic duct on it's way to the small intestine where 90% of your digestion takes place. Pancreatitis happens when the bile duct gets clogged and the bile backs up into the pancreas and creates problems. The morphine will not work as you have found out. The bile that is backing up into your pancreas is most likely causing a deterioration of the pancreas and then hardening. Not a pretty picture.

      What needs to happen is you need to stop with the "MAKE BELIEVE HEALTH" you are getting from drugs and focus on making your liver, gallbladder and pancreas healthy again. To do that, you need to focus on your digestion, starting with your stomach and small intestine. I'm guessing you have acid reflux or at least acid indigestion as well. You didn't mention that, but based on your issue, I believe it safe to assume you do. If you are taking antacids, that is creating even more toxic burden on your liver and creating really bad bile that is exacerbating the pancreas problem.

      Most doctors are NOT aware of the intrahepatic gallstones that form in the liver because their diagnostic tools do not show that hardened bile looks any different that watery bile.

      The pain you are feeling in the rib cage, is most likely in the right side of your body and the pain in your shoulder area is most likely at the rotator cuff area of your shoulder. I would guess that your kidneys are also giving you some problems and you are getting some pain in that area as well.

      All this is NOT going to be solved by modern medicine my friend. It is a classic example of things that a Certified Nutritional Therapist can address and help you greatly. By getting your digestion working well, relieving the pancreas of making all the digestive enzymes, cleaning up your gallbladder and liver, and changing your diet to stop the toxic burden being put on your body, you can actually start to get back on the road to health. Depending upon the extent of the damage to your body, you should see results in days accordingly. No drugs will be required to do this.

      Let's assume you don't believe this is possible. What do you have to lose and you can always go back to treating the symptoms.

      good luck to you

  9. QUESTION:
    How do you get gastritis?
    about a month ago i had gone to doctor for it and i got some pills to take day and nite 30min before i eat. And im also suppose to take tylenol for the pain. The thing is that now its hurting even more, and the pain last longer. And im not really sure how it is that i got it?

    • ANSWER:
      Here's some general information on Gastritis... but I'm actually suspicious that you've been misdiagnosed based on your worsening symptoms. Make sure the doctors rule out any cardiac causes as heart attacks and angina can mimic this pain. Also they should run tests to make sure you don't have any hernias, masses or growths in your abdomen.

      Good luck.

      Gastritis

      Gastritis is not a single disease, but several different conditions that all have inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori (H. pylori). Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well.

      The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood in your vomit or black stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention.

      Gastritis is diagnosed through one or more medical tests:

      * Upper gastrointestinal endoscopy. The doctor eases an endoscope, a thin tube containing a tiny camera, through your mouth (or occasionally nose) and down into your stomach to look at the stomach lining. The doctor will check for inflammation and may remove a tiny sample of tissue for tests. This procedure to remove a tissue sample is called a biopsy.

      * Blood test. The doctor may check your red blood cell count to see whether you have anemia, which means that you do not have enough red blood cells. Anemia can be caused by bleeding from the stomach.

      * Stool test. This test checks for the presence of blood in your stool, a sign of bleeding. Stool test may also be used to detect the presence of H. pylori in the digestive tract.

      Treatment usually involves taking drugs to reduce stomach acid and thereby help relieve symptoms and promote healing. (Stomach acid irritates the inflamed tissue in the stomach.) Avoidance of certain foods, beverages, or medicines may also be recommended.

      If your gastritis is caused by an infection, that problem may be treated as well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once the underlying problem disappears, the gastritis usually does too. Talk to your doctor before stopping any medicine or starting any gastritis treatment on your own.

  10. QUESTION:
    I often get heartburn, stomach pains, acid reflex, ect. after eating. I dont have a balanced diet.What can I d?
    Please no smart remarks like eat better or something. Im looking for a plan to try to clean out my body.

    I talked to a nutrition freak of mind and she suggested maybe going on a vegetarian lifestyle for a while.

    I am going to drop fast food/soda also.

    is there any diet/lifestyle food plan I can go by or anybody recommends

    • ANSWER:
      Heartburn is that burning sensation you experience under your breastbone after you've eaten something you liked that didn't like you. Sometimes it's mistaken for a heart attack. Or worse, a heart attack may be labeled as heartburn.
      Heartburn s the result of esophageal reflux, which is the failure of the lower esophageal sphincter (the middle at the end of the esophagus). Normally this muscle relaxes to let food into the stomach, then immediately contracts to close off the esophagus from the stomach contents. But if the muscle weakens--a common result of pregnancy and, sometimes, obesity--acid and bile from the stomach can back up into the unprotected esophagus and irritate it, causing a burning sensation in the chest.
      Many foods can trigger heartburn. Peppermint, spearmint, fatty foods and chocolate are among the most menacing. Citrus juice, tomato products, coffee (yes, even decaff!), tea, colas, and alcohol can also aggravate or initiate heartburn.
      Certain drugs also have been indicted. Progesterone in oral contraceptives, nicotine, the tranquilizer Valium, antibiotics such as tetracycline, asthma medications such as aminophyulline, and certain heart medicates are just a few examples. The acidity in Vitamin C tablets can also cause the problem.
      Heartburn can also be disease related. The major symptom of a gastric ulcer is a burning, gnawing pain, usually felt throughout the upper part of the abdomen and sometimes in the lower chest. It usually occurs just after eating and can last from half an hour to three hours. The problem can come and go, with weeks of intermittent pain alternating with short pain-free periods. A duodenal ulcer produces a similar gnawing pain, usually confined to a small area in the upper middle abdomen but sometimes radiating throughout. The pain is often temporarily relieved by eating but then returns several hours later and lasts for a couple of hours. It's often worst at night. In fact, nighttime aggravation us such a telltale sign that if you are being awakened by pain the wee small hours, take that as a clue that you may have a duodenal ulcer.
      Responses:
      The first reaction to an attack of heartburn is usually to take an antacid tablet such as Rolaids and lie down. But it's the wrong reaction. The best way to get immediate relief from heartburn is to take a liquid antacid such as Mylanta and sit up. Sitting up helps reduce the pressure against the lower esophageal sphincter muscle. And while antacid tables may be more convenient, .liquid preparations have the edge because they coat more of the surface of the esophagus and stomach, providing more soothing relief.
      Antacids contain at least one of four neutralizing ingredients--sodium bicarb, calcium carbonate, magnesium hydroxide and aluminum hydroxide--each of which can have its own set of side effects. For this reason, antacids should be used only for occasional bouts of heartburn. Long-term use should be monitored by a health care professional.
      Antacids containing calcium carbonate such as Tums and Alka-Mints and Aluminum hydroxide such as AlternaGel can cause constipation. Sodium-containing products can load up your system with sodium. AND ANY ANTACID CAN INTERACT WITH CERTAIN ANTBIOTRICS< HEART MEDICARTIONS AND OTHER DRUGS.
      To minimize attacks, avoid the foods or drugs that aggravate heartburn. This can be done by keeping a food diary and noting which food or foods bringing on an attack.
      In addition, you should eat small, frequent meals instead of infrequent, heavy ones, eat your last meal of the day several hours before bedtime, rinse your esophagus frequently by lowing slipping water throughout the day and avoid lying down after meals.
      If heartburn is a frequent problem at night, raise the head of your bred four to six inches. This will elevate your upper body without folding you in half which can aggravate the condition. And avoid using extra pillows for the same reason.


what does bile reflux look like

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